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West Virginia expands PEIA fraud investigation authority and authorizes regular license plates for agency vehicles

Original title: Relating to authority of PEIA to investigate and prosecute fraud

Last action · February 25, 2026: Referred to JudiciarySponsor: Mike Azinger

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

The West Virginia Legislature introduced a bill expanding the Public Employees Insurance Agency's authority to investigate and prosecute fraud, establishing civil remedies, criminal penalties, and record-retention requirements, while authorizing regular license plates for agency investigative vehicles.

Why it matters

Enrollees, employers, and healthcare providers face new criminal penalties, , and administrative clawbacks for fraudulent claims, while PEIA gains subpoena powers and special investigative units.

Background
  • The West Virginia Public Employees Insurance Agency (PEIA) manages health insurance plans for state employees, educators, and various local government participants. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Public Employees Insurance Agency enrollees

Enrollees face civil liabilities, administrative proceedings, and criminal penalties for securing unauthorized benefits or misrepresenting material facts.

Directly affected

Healthcare providers

Providers are subject to mandatory five-year record retention requirements, payment suspensions upon credible allegations of fraud, and potential network exclusion.

Directly affected

Participating employers

Employers must provide documentation upon request to verify full-time employment and eligibility of plan participants.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What new powers does PEIA receive under this bill?
PEIA gains the authority to establish a special investigations unit, issue s, request search warrants, suspend provider payments during investigations, and pursue civil against fraudulent claimants.
How long must healthcare providers retain their billing and service records?
Providers must maintain records necessary to disclose the full nature of goods or services and underlying income for at least five years following the date payment was received.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in Senate committee.

Procedural history

3 actions
  1. Feb 25, 2026SenateCommittee
    Referred to Judiciary
  2. Feb 25, 2026SenateCommittee
    Reported do pass
  3. Feb 25, 2026Senate
    Originated in Senate Banking and Insurance

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Expanded Administrative Enforcement

The legislation shifts enforcement capabilities by granting PEIA direct administrative subpoena and investigation powers alongside traditional judicial channels.

Connected Entities

Division of Motor Vehicles, Supreme Court of Appeals, Senator Azinger and 3 more
OrganizationDivision of Motor Vehicles“Authorized to issue regular license plates for PEIA investigator vehicles”Map →
OrganizationSupreme Court of Appeals“Mentioned regarding probation officers and vehicle exemptions”Map →
PersonSenator Azinger“Lead sponsor of Senate Bill 1082”Map →
OrganizationAttorney General“Authorized to prosecute civil actions on behalf of PEIA”Map →
OrganizationInsurance Commissioner“Authorized to receive referrals for fraud investigation and prosecution”Map →
OrganizationWest Virginia Public Employees Insurance Agency“State agency granted expanded investigative and fraud prosecution powers”Map →

Sources

Open source document

www.wvlegislature.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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